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Association between Maternal and Paternal History of Chronic Constipation and Its Development: A Brief Report
Nhu Thi Hanh Vu1, Duc Trong Quach1,2, Shunsuke Miyauchi3
1Department of Internal Medicine and Gastro-Hepato Integrated Research Team (GHIRT-002.TCM2025), School of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Insights
A family history of chronic constipation (CC) from either parent is similarly linked to developing CC in offspring. This association may be influenced by shared environmental factors, warranting cautious interpretation.
Area of Science:
- Gastroenterology
- Genetics
- Public Health
Background:
- A family history of chronic constipation (CC) is a known risk factor for developing the condition.
- Understanding the differential impact of maternal versus paternal CC history is crucial for risk assessment.
Purpose of the Study:
- To compare the association of maternal and paternal histories of chronic constipation (CC) with the presence of CC in offspring.
- To identify other contributing factors to CC in a student population.
Main Methods:
- A web-based questionnaire collected data from 5,518 university students on demographics, lifestyle, family history of CC, and psychological factors (BDI, EAT-26, BITE).
- Chronic constipation (CC) was diagnosed using the Rome IV criteria.
- Multivariate logistic regression analysis was employed to determine factors associated with CC.
Main Results:
- Both maternal (OR=3.47) and paternal (OR=3.41) histories of CC showed significant and similar associations with CC in offspring.
- Other significant risk factors identified included higher Eating Attitudes Test (EAT)-26 scores (OR=4.27), female sex (OR=2.74), lack of physical exercise (OR=1.67), and short sleep duration (OR=1.45).
Conclusions:
- Maternal and paternal family histories of chronic constipation (CC) are similarly associated with CC in offspring.
- The observed familial association may be significantly influenced by shared, unmeasured environmental factors rather than solely genetic predisposition.
- Findings should be interpreted with caution due to the potential confounding effect of environmental influences.
Introduction:
A family history of chronic constipation (CC) is considered an important predisposing factor for developing CC. This study aimed to compare the associations of maternal and paternal histories of CC with constipation in offspring.
Methods:
Students at Hiroshima University completed a web-based health checkup questionnaire between April and June 2025. Data included baseline characteristics, lifestyle factors, family history of CC, Beck Depression Inventory (BDI), Eating Attitudes Test (EAT)-26, and Bulimic Investigatory Test (BITE). CC was diagnosed using the Rome IV criteria. Multivariate logistic regression analysis was performed to identify associated factors.
Results:
Among 5,518 participants, both maternal and paternal histories of CC were significantly associated with CC, showing similar strength of association (maternal: odds ratio [OR] = 3.47, 95% confidence interval [CI] = 2.82-4.27; paternal: OR = 3.41, 95% CI = 2.16-5.40; both p < 0.001). Other significant factors included higher EAT-26 score (OR: 4.27, 95% CI: 2.31-7.87, p < 0.004), female sex (OR: 2.74, 95% CI: 2.28-3.28, p < 0.001), lack of physical exercise (OR: 1.67, 95% CI: 1.40-1.98, p < 0.001), and short sleep duration (OR: 1.45, 95% CI: 1.22-1.71, p = 0.001).
Conclusion:
Both maternal and paternal histories of CC were similarly associated with CC. However, this association may be largely driven by unmeasured shared environmental factors and should be interpreted cautiously.
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